Dr. Ashutosh Misra

The various facial cosmetic surgeries, be in Rhinoplasty, the PRP or the different facelift surgeries (for cosmetic as well as for reconstructive purposes) have made life a lot simpler. Based on the latest and advanced technologies, most of the facial cosmetic surgeries are hassle-free, with a reduced risk of complications. From treating the acne scars to reducing the signs of aging (wrinkles, fine lines, eye bags, or saggy skin, to name a few), the facial surgeries have filled people with a new lease of confidence and positivity. They no longer have to hide their faces with the fear of being ridiculed or humiliated.

However, the facial surgeries may not always produce the desired results. There are few vital factors that should be taken into consideration before one opts for a facial cosmetic surgery.

1. Know the credentials of your surgeon well: One wrong surgery (a botched surgery) can spell disaster for the rest of your life. Facial cosmetic surgeries require experience and precision. Most of the cosmetic surgeons undergo special training to master the surgical procedure. Research on your surgeon and the surgical procedure thoroughly before you take the plunge. Go through the reviews of other patients. Zero upon a surgeon only when you are fully satisfied and convinced about their credibility. Though a little expensive, it makes sense to opt for an experienced surgeon with a higher success rate. Most of the cosmetic surgeons are plastic surgeons who undergo special training to master the surgical procedure.
2. Are you eligible for the surgery? Not all the people with the same problems can be treated identically. What works for one may not produce the desired result for another. Factors such as the nature and extent of the skin damage, age, as well as other medical problems (such as diabetes or heart problems which may interfere with the surgery triggering complications), should be extensively discussed with the surgeon before the surgery. Do not follow what the world is doing blindly. Go for a surgery that will work the best for you.
3. Are you ready for the changes that the surgery will bring along? From dietary restrictions to lifestyle modifications, there will be changes post a facial cosmetic surgery. Some people find it difficult and suffocating to cope up with the changes. They long for the life they used to live. In extreme cases, people may even go into depression over this.
4. A facial cosmetic surgery, no matter how advanced, comes with their share of pros and cons. In some cases, the demerit or complications can affect your life drastically. Thus, do not be impulsive in making your decision. Take your time. Understand the changes the surgery will bring along and if you are ready to embrace them.
5. How well are you financially equipped for the surgery? The advanced facial cosmetic surgeries can leave a big hole in the pocket. Make sure you are financially prepared to go for the surgery.
6. A facial surgery is an important decision of your life. Make sure your family and loved ones are informed about the same. You need their love and support the most.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Hi! I am Dr. Ashutosh Misra from Enhance Clinic.

Today I will be talking about breast augmentation. Breast aug is commonly known as a boob job or augmentation mammoplasty. Most common ways of doing breast augmentation are either by silicone gel implants or with the help of fat grafting.

So, let's first talk about silicone gel implants. Now with silicone gel implants, implants are made up of silicone and most commonly filled with a memory gel. Most of the time patients who require breast augmentation are those who have lost their breast volume after pregnancy or lactation , and who have less projection and they want more projected breast. The patient should be otherwise healthy and willing for knowing the pros and cons of procedures. Now coming on to silicone gel implants, this is a very safe method for augmentation. Nowadays there are 5th generation implants. Normally, what we say is the life of an implant is around 10-12 years, though you can continue till lifelong.

The risk of rupture of the implant is less than 3%. And it is very well adapted. A treating surgeon discusses with the patient about the variety of implant which is available, types of implants which are available. He takes the marking and the measurements than discuss with the patient, the pocket in which the implant has to be placed. Either it has to be placed below the breast or below the muscle depending upon the breast tissue from where to put an implant, the most common is either from below the breast or from the nipple area. It depends upon person to person and the type of breast and the type of implant. So, the best is to discuss with your surgeon about everything, the size of implants, the most natural look of implants.

The surgery is day care surgery. The surgery itself takes around 2 hours. And the patient can be discharged on the same evening or can stay overnight in the hospital and can go early in the morning. Post surgery there are certain breast exercises which have to be done to make an implant breast sink and more supple. Best results come in one and a half and two months. Now coming on to the breast augmentation with the help of fat grafting. This means we take fat from the same person but from another part of the body, say abdomen or thigh and we put it into the breast. This is a very natural way of giving best augmentation but it may need multiple sittings because the limited amount of fat can be transferred.

So, if we require a small augmentation, this is a good technique but if we require large augmentation then implants are better. If we require augmentation which also needs certain amount of lift than breast augmentation with the help of silicone gel implants is better. Sometimes, we might have to combine the procedure, breast augmentation and breast lift together to give you the best results. The advantages of breast augmentation is that the excess fat can be trimmed and imported to the breast. Results are longer lasting and very natural. And patients are happy about it. Finally, choose your surgeon wisely, discuss everything about breast augmentation, which method suits you best, either implant of fat grafting which is best for you. Talk to him about the risks involved. And any myth which goes on with breast augmentation, that should be discussed with the surgeon prior to going for breast augmentation surgery. Everyone should have very realistic expectation about the results of breast augmentation.

Hi,

I am Dr Ashutosh Misra enhance clinics.

Today we will be talking about liposuction and clearing the myths about liposuction. Liposuction is a wonderful and a very safe procedure to get rid of your unwanted body fat. The most important thing to understand is who are the candidates for liposuction again liposuction is to get rid of unwanted fat, person maybe of their normal body mass index but may have some unwanted body fats say in face, arms, tummy or thighs. Now this unwanted fat is because of the high concentration of fat cells which are there in that particular area and this is something which is genetically determined and you cannot get rid of it through just exercise and diet. So liposuction helps to get rid of that excess fat in those particular areas, so we call it as liposuction as a body contouring surgery not as a weight reduction surgery, having said that liposuction also helps in weight reduction and that is the second part of the liposuction when you have a body mass index which is more than normal and you are suffering from obesity not to that extent but yes unwanted fat in the abdomen and all. For this, we do liposuction to decrease a large volume of fats say more than around 4-5 litres which we called as large volume liposuction and that helps to decrease the weight as well. So just removing the fat does not actually decrease your weight but post liposuction doing a good amount of exercise that we tell our patients and a diet program help you to decrease the weight over a period of say 3 months. Post liposuction, we have to wear certain special garments and for around 3 months because the best results comes around 3 months time and you have to talk to your doctor about it how to wear it and what are the things you have to take precaution. It is a very safe procedure but if done by an expert, so you have to choose your doctor well, that's the most important thing and you should have realistic expectation what a liposuction can do. Some people think fat comes out and the skin becomes loose, no liposuction is a wonderful procedure about that it also causes skin contraction, so the technique of the liposuction is very important as if how much skin has to go and what we actually need about it. If we feel there is an extra skin which cannot go even by liposuction then the procedure becomes either a mini tuck or a complete tummy tuck to get rid of your extra skin. It's a day care procedure come in the morning and go back home in the evening or if you want to stay if it is a larger procedure say more than 4 litres, you stay overnight in the hospital and then go back home the very next morning. The pressure garments are from the start of the surgery and for first one month almost most of the time of the day, after one month it is around 12 hours when you are in your daily exercise and normal routine you can take off your pressure garments after around in the night time when you are taking rest. The other myths about liposuction is people think that fat comes back, no, the number of fat cells in the body are constant after a certain, age at a very young age, it's only the size of fat that can increase or decrease, if it become obese or normal. So when we are taking out the number of fat cells, the numbers of fat cells do not increase in body. It may only increase in their size or decrease in the size and that can be control with the help of diet. So once you get a good body shape once you get a good body shape than that shape won't be distorted but if you become obese gain weight later on the shape will remain the same but it will be you become more wide or more narrow. So, that is what a liposuction does.

Thank you.

Are you conditioning your hair the right way? When this question pops up most people wonder about the implications of conditioning the hair and what is the right way of doing the same. In order to address that issue here are a few frequently asked questions that most people would like to know. 

1. Conditioning the hair before shampooing can nourish fine, damaged, colored or greasy hair. 

Conditioning your hair before you shampoo can up the nutritive value of fine hair without pulling it down. While smoothening out the hair cuticle, conditioning can help to repair hair fibers if you do it before applying shampoo to your hair. Only if the hairs are not clean due to dust or pollution, then do a quick mild shampoo first then condition the hairs, shampoo again to rinse off the heavy conditioner for bouncy hairs.

2. A conditioner is more effective if you leave it on longer
It's not how long you keep the conditioner on your hair that is important, but how well you coat each strand of your hair is what matters. That's why you need to spend a few minutes of your time working the product evenly through your hair.

Finger comb the product thoroughly through your hair for complete penetration and utilizing a shower comb to spread the conditioner through your hair is the ideal way to ensure that the hair conditioner should coat your hair completely. 

5. What's the ideal deep-conditioning treatment time?

Once you've applied the conditioner all over your hair, wrap a towel that's been heated in a microwave around your head for 20 minutes. Doing this will help the conditioner to infiltrate deeper into your hair shaft.

In case you have a concern or query you can always consult an expert & get answers to your questions!